Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Smile Eastern Family Dentistry, PLLC

Organization General Practice Dentistry · NPI 1114753837

Full Smile Eastern Family Dentistry, PLLC provides General Practice Dentistry in Portales, New Mexico. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1521 W 18th St
Portales, NM 88130-7018
Phone: (806) 353-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114753837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Hodges — Credentialing Specialist · (806) 353-1055
NPI enumeratedSeptember 10, 2024
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address2201 Civic Cir Ste 600, Amarillo, TX 79109-1817

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